| NPI | 1649489170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CL 60161161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA WA207-01-0009524) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-11-16 |